Individual provider Active NPI

Yenney E Meza, M.D.

  • Emergency Medicine Physician
  • Myrtle Beach, SC
National Provider Identifier
1225241854
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
30002 Issued in SC
Practice address
809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone
(843) 449-9559
NPI assigned
May 8, 2007
Last updated
Aug 9, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 30002 SC Primary

Addresses

Primary practice location

809 82ND Pkwy
Myrtle Beach, SC 29572-4607

Mailing address

1017 S Myrtle Dr
Surfside Beach, SC 29575-3234
Phone (215) 300-4669

Other identifiers 1

IdentifierTypeStateIssuer
300025MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA, MS, NC, LA5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20070719000468 SC Practitioner - Emergency Medicine 9133220254 Reassigns benefits to 6 organizations
I20101229001115 GA Practitioner - Emergency Medicine 9133220254 Reassigns benefits to 5 organizations
I20130605000086 MS Practitioner - Emergency Medicine 9133220254 Reassigns benefits to 1 organization
I20141006001710 NC Practitioner - Emergency Medicine 9133220254 Reassigns benefits to 4 organizations
I20230426000435 LA Practitioner - Emergency Medicine 9133220254 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Physician Services, LLC Emergency Medicine CurrentSince Mar 1, 2018 Accepting new patients
Charleston Wound Care Center LLC Emergency Medicine CurrentSince Oct 1, 2022 Accepting new patients
Gastonia Physician Services, PLLC Emergency Medicine CurrentSince Jul 8, 2014 Accepting new patients
Western Carolina Emergency Physicians, PLLC Emergency Medicine CurrentSince Oct 20, 2018 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Dec 11, 2019 Accepting new patients
Southern Urgent Care LLC CurrentSince Nov 1, 2010 Accepting new patients
Southern Urgent Care Murrell's Inlet LLC CurrentSince Aug 1, 2013 Accepting new patients
Coweta Emergency Group LLC Emergency Medicine CurrentSince Jan 1, 2013 Accepting new patients
Gastonia Physician Services, PLLC Emergency Medicine CurrentSince Jul 8, 2014 Accepting new patients
Emergency Group of Columbus, LLC Emergency Medicine CurrentSince Jan 10, 2018 Accepting new patients
Monroe Emergency Physicians LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Tarheel Emergency Group, PLLC Emergency Medicine CurrentSince May 25, 2023 Accepting new patients
The Carolinas Emergency Group, PLLC Emergency Medicine CurrentSince Oct 15, 2014 Accepting new patients
Conway Hospital Emergency Professional Services Emergency Medicine CurrentSince Oct 15, 2021 Accepting new patients
Southern Comprehensive and Behavioral Health Associates LLC CurrentSince Sep 24, 2017 Accepting new patients
Sound Physicians Emergency Medicine of South Carolina LLC Emergency Medicine CurrentSince Oct 1, 2016 Accepting new patients
App of Mississippi Ed, LLC Emergency Medicine CurrentSince Jun 23, 2018 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Dec 11, 2019 Accepting new patients
Georgia Emergency Group, LLC Emergency Medicine CurrentSince Oct 1, 2018 Accepting new patients
Wayne Emergency Group LLC Emergency Medicine CurrentSince Jan 1, 2013 Accepting new patients

Locations

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

1050 McDonough Rd
Jackson, GA 30233
Phone (770) 775-7861

865 S 1st St
Jesup, GA 31545
Phone (912) 427-6811

745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785

4717 US Highway 80 E
Ste Hi
Savannah, GA 31410
Phone (912) 429-1984

309 Jackson St
Monroe, LA 71201
Phone (318) 966-4000

150 Reynoir St
Biloxi, MS 39530
Phone (228) 284-2389

2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001

301 Yadkin St
Albemarle, NC 28001
Phone (704) 984-4000

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

180 Wingo Way
Ste 101
Mt Pleasant, SC 29464
Phone (843) 284-4268

3583 Highway 17
Murrells Inlt, SC 29576
Phone (215) 475-2131

1229 Nexton Pkwy
Unit A
Summerville, SC 29486
Phone (843) 585-3577

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: ymeza5219463@direct.casso.us.com

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312848000000",
    "number": "1225241854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 S MYRTLE DR",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295753234",
            "telephone_number": "215-300-4669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 82ND PKWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724607",
            "telephone_number": "843-449-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEZA",
        "first_name": "YENNEY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2011-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "30002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300025",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.